
Does This Lab Report Indicate The Presence Of Kidney Disease?

Question: If a patient with a history of CKD has a normal creatinine and BUN and a GFR > 60, and a urine output of 800 to 1000 ml per 12 hr shift but has an IV of NS at 100cc/hr and is on a diet with liquids is positive a liter or 2 for 24 hrs, is this cause for
worry about renal function? Or, are labs the best determination of renal function?
worry about renal function? Or, are labs the best determination of renal function?
Brief Answer:
Renal function
Detailed Answer:
Hello
Here is how you tell if someone as renal dysfunction
1. Serum creatinine should be less than 1.2 mg/dl
2. No protein loss in urine or rbc in urine
3. Normal sized kidneys on ultrasound
The best way of measuring the renal function is be getting creatinine clearence done another way is to get a DTPA scan done
I hope I was of help, if you have any further queries please get back to me
Regards
Renal function
Detailed Answer:
Hello
Here is how you tell if someone as renal dysfunction
1. Serum creatinine should be less than 1.2 mg/dl
2. No protein loss in urine or rbc in urine
3. Normal sized kidneys on ultrasound
The best way of measuring the renal function is be getting creatinine clearence done another way is to get a DTPA scan done
I hope I was of help, if you have any further queries please get back to me
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


If you were just given the information that I wrote, would there be a concern from a renal standpoint?
Brief Answer:
Would be worried
Detailed Answer:
Hello
Thanks for getting back
From the information you have given I wouldn't be worried as a nephrologist as gfr is good and there is adequate urine output.
It is important that you are ace/arb at this point. I usually start telmesartan 20-40 mg once a day
Regards
Would be worried
Detailed Answer:
Hello
Thanks for getting back
From the information you have given I wouldn't be worried as a nephrologist as gfr is good and there is adequate urine output.
It is important that you are ace/arb at this point. I usually start telmesartan 20-40 mg once a day
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


Thanks,
Your brief answer "Would be worried", was that a typo? as in your detailed answer you "wouldn't be worried".
I believe the pt was on lopressor and/or hydralazine.
Your brief answer "Would be worried", was that a typo? as in your detailed answer you "wouldn't be worried".
I believe the pt was on lopressor and/or hydralazine.
Brief Answer:
Typo
Detailed Answer:
Hello
I am sorry for the typo, iPhones have a mind of their own.
Along with Lopressor and hydralazine I recommend that the patient is on ACE/ARB. It has been proven time and again that ACE/ARBs are renoprotective and cardioprotective as well.
Regards
Typo
Detailed Answer:
Hello
I am sorry for the typo, iPhones have a mind of their own.
Along with Lopressor and hydralazine I recommend that the patient is on ACE/ARB. It has been proven time and again that ACE/ARBs are renoprotective and cardioprotective as well.
Regards
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

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